What Constitutes Quality of Life?: Methodological Considerations and Suggestions for Clinical Practice

Abstract

Quality of life is considered an inclusive term to be redefined in accordance with the purpose of every investigation. The subjective aspects and individual value systems of patients are illustrated by a short review of empirical studies. It ensues that treatment choices should be made together with the individual patient, based on his attitudes toward quality as well as quantity of survival. The difficulties of this demand are illustrated by the author's own analysis of videotaped interviews. Physicians and patients seem to agree that it is preferable not to discuss anxiety-related topics but to hold out hope for the treatment.

Key Words:

• Cancer patient
• decision-making
• methodology
• quality of life